Individual
MARNIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7420
Mailing address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN081506
AZ
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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